MR. Kreig Robert Peterson, LMT, NCBTMB, MMT

NPI #1184994360 in Bosque Farms, New Mexico

Provider Information

NPI Number: 1184994360
Entity Type: Individual
Name: MR. Kreig Robert Peterson, LMT, NCBTMB, MMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, NCBTMB, MMT
Enumeration Date: Jan 5, 2012
Last Updated: Jan 5, 2012

Practice Location

Address: 2075 WASMER CIR
City: Bosque Farms
State: New Mexico
ZIP Code: 87068-9683
Phone: (505) 410-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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